Sand Castle Day Care Service

Noncompliance Area: A renewal inspection occurred at the facility and a review of staff files was conducted. The Child Protective Services Law(CPSL) was revised to include the requirement for the National Sex Offender Registry(NSOR) clearance effective 9/30/2019. The CPSL also states that anyone hired before 9/30/19 had until 7/1/20 to obtain this clearance. The following staff have been employed at the center before 9/30/19 and at the time of inspection the files did not contain the completed NSOR clearance; Staff # 1, Staff # 2, Staff # 3, and Staff # 4. Staff # 1, Staff # 2, and Staff # 3 were working with children during this inspection. Staff # 1 had a mandated reporter dated for 5/20/15 and this training was not updated until 7/22/20. This training was not updated every 60 months per the CPSL.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services).A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Facility Person # 1, # 2, # 3, # 4, and # 5 may not work in a child care position at the facility.

Noncompliance Area: On the date of this renewal inspection, a review of the facility's fire drill log was conducted. Fire drills documented as occurring on 1/2/19 and 3/5/19, lapsed 60 days.

Correction Required: A fire drill shall be held at least every 60 days. Staff persons, volunteers and children in attendance shall participate in the fire drill and shall exit the facility, weather permitting.

Noncompliance Area: On the date of this inspection, a physical site review was conducted. At that time, Child # 1 was found sleeping in a pack and play propped up on a boppy pillow sleeping with toys attached to the pack and play. The file of Child # 1 was reviewed and did not contain medical documentation that the child was to sleep in an elevated position with a pillow or toys to be attached to the crib.

Correction Required: Toys, bumper pads, or pillows may not be present in a crib while an infant is sleeping in the crib. Infants shall be placed in the sleeping position recommended by the American Academy of Pediatrics unless there is a medical reason an infant should not sleep in this position. The medical reason shall be documented in a statement signed by a physician, physician's assistant or CRNP and placed in the child's record at the facility.

Noncompliance Area: On the date of this inspection, a review of staff files was conducted. Staff file # 1 had a date of hire of August 2018 and the file was missing documentation that the staff participated in a tuberculosis screening. It was reported that Staff # 1 has worked with children since the listed date of hire.

Correction Required: An adult health assessment must include tuberculosis screening by the Mantoux method at initial employment. Subsequent tuberculosis screening is not required unless directed by a physician, physician's assistant, CRNP, the Department of Health or a local health department.A facility person's record shall include a written report of initial and subsequent health assessments, including the results of initial and subsequent tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis.

Noncompliance Area: On the date of this inspection, a review of staff files was conducted. Staff file # 1 had a date of hire of August 2018 and the file was missing two letters of written reference. It was reported that Staff # 1 has worked with children since the listed date of employment.

Correction Required: A facility person's record shall include two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person

Noncompliance Area: On the date of this inspection, a review of staff files was conducted. Staff file # 1 had a hire date of August 2018 and the file was missing proof of education and verification of child care experience prior to employment with this facility. Staff # 1 is unable to be appropriately qualified for a position at the facility without the educational and experience documentation. It was reported Staff # 1 has worked with children since their hire date.

Correction Required: A staff person or a substitute staff person shall meet one of the applicable staff qualifications for the position in which the person is performing.A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

Noncompliance Area: THERE IS MULCH ON THE OUTDOOR PLAY SPACE LESS THAN 1 INCH IN DIAMETER USED WITH CHILDREN THAT STILL PLACE OBJECTS IN THEIR MOUTHS.

Correction Required: Toys and objects with a diameter of less than 1 inch, objects with removable parts that have a diameter of less than 1 inch, plastic bags and styrofoam objects may not be accessible to children who are still placing objects in their mouths.